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    <title>自 评 量 表（SDS）</title>
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	<div style="text-align:center;margin:20px 20px 0px 200px; text-align:center">
  		<h2><font face="黑体">自 评 量 表（SDS）</font></h2>
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	<div id="patient" style="margin:20px 20px 0px 200px; border: dashed 1px  #777">
	
		<form action="PatientFormEdit" method="post">
			<input type="hidden" name="patientId" /> 
			<DIV  style="font: normal bold 16px 黑体 ">
				姓名<input class="txt" type="text" name="b182" size="12" />                        
				性别<input class="txt" type="text" name="b183" size="4" />
				年龄<input class="txt" type="text" name="b184" size="4" />
				测评时间<input class="txt" type="text" name="b185" size="12" />
				测评人<input class="txt" type="text" name="b186" size="12" /> 		    
			</DIV>
			<div class="doc" style="padding-bottom:20px">
				<div style="font: 黑体; text-indent: 20pt">下面有二十条文字，请仔细阅读每一条，把意思弄明白，然后根据你最近一星期的实际感觉，在适当的方格里划一个勾，每一条文字后有四个方格，<b>A B C D分别表示：</b></div>
				<div style="font: 黑体; text-indent: 20pt">A没有或很少时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; B小部分时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; C相当多时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;  D绝大部分或全部时间</div>
				<div style="font: 黑体; text-indent: 20pt"><b>E由工作人员评定</b></div>

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			    	<span style="width:300px"></span>
			    	<span style="width:50px; text-align:center">A</span>
			    	<span style="width:50px; text-align:center">B</span>
			    	<span style="width:50px; text-align:center">C</span>
			    	<span style="width:50px; text-align:center">D</span>
			    	<span style="width:80px; text-align:right">E</span>
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			    	<span style="width:300px">1．我感到闷闷不乐，情绪低沉。</span>
			    	<s:radio theme="simple" name="b187" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">1</span>
			    	 <s:radio theme="simple" name="b187" list='#{5:""}' />
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			    	<span style="width:300px">2、我觉得一天之中早晨最好。</span>
			    	<s:radio theme="simple" name="b188" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2"/>
			    	<span style="width:75px; text-align:right">2</span>
			    	 <s:radio theme="simple" name="b188" list='#{5:""}' />
			    </div>     
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			    	<span style="width:300px">3、我一阵阵哭出来或觉得想哭。</span>
			    	<s:radio theme="simple" name="b189" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">3</span>
			    	<s:radio theme="simple" name="b189" list='#{5:""}' />
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			    	<span style="width:300px">4、我晚上睡眠不好。</span>
			    	<s:radio theme="simple" name="b190" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">4</span>
			    	<s:radio theme="simple" name="b190" list='#{5:""}' />
			    </div>     
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			    	<span style="width:300px">5、吃得跟平常一样多。</span>
			    	<s:radio theme="simple" name="b191" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">5</span>
			    	 <s:radio theme="simple" name="b191" list='#{5:""}' />
			    </div>     
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			    	<span style="width:300px">6、我与异性密切接触时和以往一样感到愉快。</span>
			    	<s:radio theme="simple" name="b192" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">6</span>
			    	<s:radio theme="simple" name="b192" list='#{5:""}' />
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			    	<span style="width:300px">7、我发觉我的体重在下降。</span>
			    	<s:radio theme="simple" name="b193" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">7</span>
			    	<s:radio theme="simple" name="b193" list='#{5:""}' />
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			    	<span style="width:300px">8、我有便秘的苦恼。</span>
			    	<s:radio theme="simple" name="b194" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">8</span>
			    	<s:radio theme="simple" name="b194" list='#{5:""}' />
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			    	<span style="width:300px">9、我觉得心平气和，并且容易安静坐着。</span>
			    	<s:radio theme="simple" name="b195" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">9</span>
			    	<s:radio theme="simple" name="b195" list='#{5:""}' />
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			    	<span style="width:300px">10、我无缘无故地感到疲乏。</span>
			    	<s:radio theme="simple" name="b196" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">10</span>
			    	<s:radio theme="simple" name="b196" list='#{5:""}' />
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			    	<span style="width:300px">11、我的头脑跟平常一样清楚。</span>
			    	<s:radio theme="simple" name="b197" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">11</span>
			    	<s:radio theme="simple" name="b197" list='#{5:""}' />
			    </div>   
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			    	<span style="width:300px">12、我觉得经常做的事情并没有困难。</span>
			    	<s:radio theme="simple" name="b198" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">12</span>
			    	<s:radio theme="simple" name="b198" list='#{5:""}' />
			    	
			    </div>   
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			    	<span style="width:300px">13、我觉得不安而平静不下来。</span>
			    	<s:radio theme="simple" name="b199" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">13</span>
			    	<s:radio theme="simple" name="b199" list='#{5:""}' />
			    	
			    </div>   
			    <div class="doc">
			    	<span style="width:300px">14、我对将来抱有希望。 </span>
			    	<s:radio theme="simple" name="b200" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">14</span> 
			    	<s:radio theme="simple" name="b200" list='#{5:""}' />
			    </div>   
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			    	<span style="width:300px">15、我比平常容易生气激动。</span>
			    	<s:radio theme="simple" name="b201" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">15</span>
			    	<s:radio theme="simple" name="b201" list='#{5:""}' />
			    	
			    </div>   
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			    	<span style="width:300px">16、我觉得做出决定是容易的。。</span>
			    	<s:radio theme="simple" name="b202" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">16</span> 
			    	<s:radio theme="simple" name="b202" list='#{5:""}' />
			    	
			    </div>   
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			    	<span style="width:300px">17、我觉得自己是个有用的人，有人需要我。</span>
			    	<s:radio theme="simple" name="b203" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">17</span>
			    	<s:radio theme="simple" name="b203" list='#{5:""}' />	    	
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			    	<span style="width:300px">18、我的生活过得很有意思。</span>
			    	<s:radio theme="simple" name="b204" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">18</span>
			    	<s:radio theme="simple" name="b204" list='#{5:""}' />
			    	
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			    	<span style="width:300px">19、我认为如果我死了别人会生活得好些。</span>
			    	<s:radio theme="simple" name="b205" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">19</span>
			    	<s:radio theme="simple" name="b205" list='#{5:""}' />
			    	
			    </div>   
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			    	<span style="width:300px">20、常感兴趣的事我仍然照样感兴趣。</span>
			    	<s:radio theme="simple" name="b206" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" />
			    	<span style="width:75px; text-align:right">20</span>
			    	<s:radio theme="simple" name="b206" list='#{5:""}' />
			    	
			    </div>   
			    
			    <div class="doc">
			    	<span>
			    	结果：粗分：<input class="txt" name="b207" type="text" size="6">
			    	标准分：<input class="txt" name="b208" type="text" size="6">
			    	结论：<input class="txt" name="b209" type="text" size="6">
			    	医师签名：<input class="txt" name="b210" type="text" size="6"> 
			    	</span>
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